Kevin Jay Fromm, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

375345-9934 Issued in UT

Practice address

5455 W 11000 N
Suite 101
Highland, UT 84003-8800

Phone

(801) 756-9357

Fax

(801) 756-9358

NPI assigned

Feb 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optometric Physician LLC

  • Optometrist
  • Highland, UT
  • NPI 1700087335
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659347144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 W 11000 N",
            "address_2": "SUITE 101",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840038800",
            "telephone_number": "801-756-9357",
            "fax_number": "801-756-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 W 11000 N",
            "address_2": "SUITE 101",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840038800",
            "telephone_number": "801-756-9357",
            "fax_number": "801-756-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROMM",
        "first_name": "KEVIN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "375345-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East West Health Pleasant Grove LLC
• Shelly Ebert, F.N.P.
• Edelweiss Senior Care PLLC
• Brianne Ellison
• Brandon Ray Fowler, LPN
• Edward M Gillis
• Carson James Gneiting, DMD
• Leah Marie Gonzalez, PA-C
• Kristin Gourley, IBCLC
• Ryan Green, DMD

• Optometrist in Highland, UT
• Providers in Highland, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.